Doctor insights on:
Best Itp Program

1

Uncertain:
I disagree with some aspects of recommended treatments such as coffee enemas for detoxification purposes. I find no convincing studies proving benefit. In general, a working liver and healthy kidneys take care of detoxification quite admirably. Talking with people who have undergone treatment and discussing with various physicians and perhaps getting a second opinion would be worthwhile.
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2

The one that works:
The 12-step programs have been very successful. However, there are other methodologies that work. Like most mental health treatments, you must fit the patient to the treatment modality.
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3

Shopping?:
Your question suggests you're having problems with a recalcitrant adolescent. If so, before sending them off to boot camp, you may wish to consider counseling and a visit to your doctor to be sure there no underlying causes for the misbehavior. Drug use is a common problem in this area. As are learning problems.
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4

You decide:
There is not a single best one. It is whatever you can do and you enjoy doing. But try to get at least 30 min of aerobic activity in each day. Does not matter if it is fast walking, running, cycling, or swimming.
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5

Yes:
The steps are largely the same. All 12 -step groups are based on the same steps. Admitting they were powerless over their illness/problem. And admitting that a power greater than themselves could restore them to sanity. Then following a series of steps to come to terms with their past actions and to enable them to lead fruitful productive lives and to be of service to others who suffered simil.
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7

It's your choice:
It's a crash diet and arbitrary "this is good, this is bad" from somebody with no evidence and no qualifications. It's your life and your health. Many people find this sort of thing comforting. If you have actual health issues, get with an evidence-based physician, preferably one who shares your interest in "natural medicine" and pop claims.
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Don't do it :
Those blood count changes are most likely due to your medications. They not require treatment. Your medications can cause bone marrow suppression which will cause these blood counts to decrease. The medications are normally adjusted based on these counts and the function of the transplanted organ they are protecting. Do not try to adjust these meds or blood counts without your docs directions.
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10

An MD:
Visit might put one's mind at ease. Coexisting medical conditions often require an adjustment of any conditioning program to lower the potential risks. That said, the best program will be the one that will (1) allow for consistent engagement (usually based on one's interest) and that (2) supports the desired goals..Strength, aerobics, endurance, and/or any combination.
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11

Gastric sleeve:
Hi. We don't have all the information on you (BMI, obesity comorbidities), but you may very well meet criteria for sleeve gastrectomy surgery. It can help a lot with weight loss, and doesn't alter the anatomy of the small intestine, so there is generally not a problem with nutrient malabsorption. And depending on the nature of your chronic pain, it may help with that. What does "ADrive" mean?
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12

Suboxone treatment :
To be placed on Suboxone, one must have a diagnosis of Opiate Use Disorder, aka, Opiate Addiction. to see me for Suboxone, patients are required to agree to comply fully with their treatment plan, submit to drug testing and abstain from all drugs and alcohol. It's part of an overall treatment program which uses the Harm Reduction Model for Opiate Use Disorder Medication Assisted Treatment.
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Floride rinse:
Bulimia is destructive to your teeth due to the high concentration of gastrointestinal acids that pass through the oral cavity. This lowers the ph of the area and causes destruction of enamel until the ph can be increased to a more neutral level. Using a Fluoride rinse like act! will help by increasing the ph at a more rapid rate than your saliva does naturally.
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16

Any moderate size:
Hiv management has been fairly well standardized across the western world. There will always be subtle differences in the approach from physician to physician, without being able to predict from location to location who is "best". I have seen supposed outstanding experts deliver abysmally poor care, and great care from so-called "unknowns". No one city has a monopoly.
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17

Insulin needle:
You should inject near belly button and pinch the skin. The needle should be 30 gauge or smaller. Your physician should explain this to you and you should only do this diet with a qualified physician and on the original protocol.
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18

Don't need referal:
Often, individuals do not need a referral for residential care. It can be very helpful to have a referral from a geriatric psychiatrist or pcp. But often, one isn't needed. Many are "step down" facilities, where the healthier individuals rent the top floors like regular apartments, with benefits of living there like cafeterias, etc. As the need more help, according to the rules of the place.
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